(New York, New York -- August 9, 2006) -- According to a landmark study by researchers at Mount Sinai School of Medicine, heart failure (HF) patients who received routine follow-up by a nurse in addition to visits to a physician had fewer hospitalizations and functioned better than patients who received only usual care. The study appears in the August 15, 2006 issue of the Annals of Internal Medicine.
According to the American Heart Association, nearly five million Americans are living with heart failure - - a serious condition that can lead to difficulty breathing and walking, and to an early death. With appropriate treatment and self-management, patients with HF can live a full and enjoyable life. But patients may not have the skills to manage their condition, and clinical care may fall short of guidelines.
"Heart failure is very serious, but patients can play a critical role in managing the condition and improving the quality of their lives," said Jane Sisk, Ph.D., Professor of Health Policy at Mount Sinai School of Medicine, Director of the Division of Health Care Statistics at the CDC's National Center for Health Statistics, and lead author of this study. "This study has shown that with routine counseling and encouragement from a nurse, patients can perform everyday activities better and have fewer hospitalizations. These results could help to improve care for patients in other minority communities."
About the Study
Mount Sinai School of Medicine investigators compared the effects of a nurse-led intervention focused on specific management problems versus usual care among ethnically-diverse patients in ambulatory practices. The patients, whose hearts were too weak to pump blood strongly enough throughout the body, were enrolled from ambulatory practices in Harlem hospitals. About half of the patients were African American and one-third were Hispanic. During the 12-month intervention period, bi-lingual nurses cou
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